Design Registration * Required field for submission Submission Sequence No.Distributor InformationDistributor*DistributorAllied ElectronicsArrow ElectronicsCarlton-Bates CompanyDigi-Key ElectronicsFuture ElectronicsHeilind ElectronicsHughes-PetersMasline ElectronicsMouser ElectronicsNep ElectronicsNewark Element 14New Yorker ElectronicsOmniProPowell ElectronicsSwitches UnlimitedTTIWesco AircraftSubmitted By*Date* MM slash DD slash YYYY Email* Phone*Field Application Engineer (FAE)*Email* Phone*Customer InformationCompany*Address*City*State*Zip Code*Project InformationStatus*ConceptPrototypeWinProductionPrototype Date* MM slash DD slash YYYY Production Date* MM slash DD slash YYYY Project Name*Forecasted QTY 1st Year*Confidence Level*Confidence Level25%50%75%100%Details of Application*Project Engineer First Name*Project Engineer Last Name*Email* Phone*Purchasing Contact First Name*Purchasing Contact Last Name*Purchasing Contact Email* Purchasing Contact Phone*Part Number RegistrationPart Number 1*QTY/Sys 1*Price Request*Part Number 2QTY/Sys 2Price RequestPart Number 3QTY/Sys 3Price RequestCompetition*Contract ManufacturerComments*This field is hidden when viewing the formlead_sourcedesign_regCAPTCHA
